Indiana prompt pay law: deadlines, interest, and how to use it
Yes. Indiana's prompt-pay law (IC 27-8-5.7 and IC 27-13 for HMOs) requires payers to pay clean claims within a set window or pay interest.
The key rules
- Clean electronic claims are generally due within 30 days; paper claims within about 45 days
- Late payment accrues statutory interest on the overdue amount (confirm the current rate)
- The payer must pay or properly deny within the window
- Applies to state-regulated commercial insurers and HMOs
How to use it
- Apply the electronic vs paper distinction to use the correct 30- or 45-day window
- Calculate interest from the due date and request it in writing
- Cite IC 27-8-5.7 (or IC 27-13 for HMOs) when raising it with the payer
- Escalate patterns to the Indiana Department of Insurance
Confirm the current interest rate and the electronic vs paper day-counts. Prompt-pay rules reach state-regulated (fully insured) commercial plans, not ERISA self-funded employer plans, which are a large share of commercial volume. Medicare and Medicaid pay under their own separate prompt-payment rules. Confirm the current payment window, interest rate, and penalty against the statute or your state insurance department before citing a figure in an appeal, since rates are reset by legislation and by annual DOI rate-setting.
Does Indiana have a prompt pay law?
Yes. Indiana's prompt-pay law (IC 27-8-5.7 and IC 27-13 for HMOs) requires payers to pay clean claims within a set window or pay interest.
What are the Indiana insurance payment deadlines and penalties?
Clean electronic claims are generally due within 30 days; paper claims within about 45 days; Late payment accrues statutory interest on the overdue amount (confirm the current rate); The payer must pay or properly deny within the window; Applies to state-regulated commercial insurers and HMOs.
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